HomeMy WebLinkAbout8651 W. 38th AvenueFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair
Date: Thursday, January 27, 2022 7:52:23 AM
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PERMIT APPLICATION Sewer or Water Line Repair
This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 8651 W 38th Ave
Property Owner Name Gerry Woodruff
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
303-591-1502
permits@plumblineservices.com
Attach City of Wheat Electronic Payment Form - Revised 5-1-20
Ridge Electronic Fillable 202005011620013849 202006081141368198.Ddf
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Plumbline Services
Name
Contractor's License 021818
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-591-1502
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email permits@plumblineservices.com
Address
Retype Contractor permits@plumblineservices.com
Email Address
01:K163CiIi1 ffl0N]&TO(6]S:/
Is this a sewer line or
Sewer Line
water line repair?
Length of repair
135 Approximately
Location of repair
front yard
(backyard, frontyard,
etc)
Provide additional
Emergency OOS Sewer repair in yard only adding clean outs
details including
installation of clean -
outs.
Project Value (contract
8750
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Tiffany Gerze
Pe rm it
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City of Wheat Ridge
Residential Roofing PERMIT - 201700992
PERMIT N0:
JOB ADDRESS: 201700992
JOB DESCRIPTION: 8651 W 38th AVE ISSUED:
Tear off and 05/30/2017
replace shin EXPIRES: 05/30
files OC Sierra Grey 31 s /2018
*** CONTACTS *** squares 3/12 pitch
OWNER (303)371-7663 WOODRUFF GERALD R
SUB (303)371-7663 Chris
Garland
120228 Safe House Exteriors
*** PARCEL INFO ***
ZONE CODE:
SUBDIVISION CODE: UA / Unassigned
2406 / BEL AIRE,HILLCREST USE:
HEIGHTS, ME BLOCK/LOT#: UA / Unassigned
*** FEE SUMMARY *** 0 /
ESTIMATED PROJECT VALUATION:
Total Valuation FEES 7,967.00
Use Tax
Permit Fee 0.00
143.41
** TOTAL ** 172.60
316.01
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle inspection, conducted when 25-75 g installations re
approval. Installation of roof sheath Percint °f the roof quire an approved midroof
prior to installation of g (new or overlay)
is installed,
or board sheathing ANY roof coverings �') requires an approvedprior to final
be fastened to g with ANY gap overig and is require on erofinspection
the roof deck with a exceeding A1�-inch exists. the entire roof when spaced
required. Eave and rake metal is re minimum of Asphalt shingles are water
and secured in 6 nails per shingle. Ice and required to
Place is re required. A ladder extendingwater shield is
is required to Pla required to be provided for all roof 3 feet above the roof
instructions ply with applicable codes eave
, whichever is more stringent.and/or manufacturera€�Mstiost Roof ventilation
elastomeric or similar type roof covens In order to installation
manufacturer's pass a final
technical re g a letter of ins inspection of
(project address) has presentative statin hec ppi and approval from the
(roof material brand name) applied in accordance withathetinstaplatation o
inspection. ) roof the roof at
covering,, is required to be ruction for
on site at the time of final
Occupancy/T
SPECTION RECORD�
IN N REQUEST LINE: (303) 234-5933-,
INSPECTION site.
erformed unless this card is posted on the project
Inspections will not be p m. to receive an inspection the following business day.**
11 the inspection request line before 11.59 p. pro'ect
t s a,
Sign ALL Spaces Inspector Must Sig es pe
Inspector Co
undation Inspections
Date Initials � r
ncrete Encased Ground (CEG) inspections
undation 1 P.E. Letter royal Of The Above
Do Not Pour Concrete Prior
Comments
nderg
roundlSlab Inspections Date Initials
ectrical
ewer Service
lumbing
Do Not Com
tough Inspections
Nall Sheathing
Mid -Roof
Lath 1 Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
p,ough Grading
Insulation
prywallScream ail
Final Inspections
round or Belowlln pea bWork Prior To
Date Initials
Landscaping & Parking 1 Planning Dept.
ROW & Drainage 1 Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection 1 Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
al Of T eh Above Ins
Comments
ons
Inspector Comments
Date Initials uested
Inspections from these entities should abd paq parking
one week in advance. For landscaping
inspections call 303-235-2846. For ROW and dons age
inspections call 303-235-2861. For fire inspections
n p tons
contact the Fire Protection District for y project.
"I'
Final WindowlDoors
Public Works, Fire and Building before a Certificate
Final Bui►ding roved by Planning, occupancy.
NOTE: All items must be completed and app inspection does not constitute authorization of
anc is issued. Approval of the Final Building tions are completed from the Fire District and electrical low voltage
of Occup Y h inspections
*For low voltage permits — Please be sure that rough
by the Building Division. uest
CI.Wheatrldge•CO.US b 8:00 A.M. the mornin oft e
inspector
route.
**For Inspection Time Window —Please email j ct lin of theq of Occupancy Is Issued
address in the subject line of the email. Time window iste sed on the msp
insoyct� `Kith the property
Occupancy Is Not Perec T
t T th Until
Protect Card From The Weather
■
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 7-0 1 -70 D '� ! 2
Job Address: 36 5 1 w 32 A ✓e-
Permit Number: 2 o/ 70 v 9 9 2
❑ No one available for inspection: Time 15S6 An P
Re -Inspection required: Yes0
When corrections have been made, call for re -inspection at 303-234-
Date:- 6
03-234-
Date:6 12o / / "7 Inspector: 6 AP
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700992
PERMIT NO: 201700992 ISSUED: 05/30/2017
JOB ADDRESS: 8651 W 38th AVE EXPIRES: 05/30/2018
JOB DESCRIPTION: Tear off and replace shingles OC Sierra Grey 31 squares 3/12 pitch
*** CONTACTS ***
OWNER (303)371-7663 WOODRUFF GERALD R
SUB (303)371-7663 Chris Garland 120228 Safe House Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,967.00
FEES
Total Valuation 0.00
Use Tax 143.41
Permit Fee 172.60
** TOTAL ** 316.01
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&4Frms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201700992
201700992 ISSUED: 05/30/2017
8651 W 38th AVE EXPIRES: 05/30/2018
Tear off and replace shingles OC Sierra Grey 31 squares 3/12 pitch
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of thepproperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fu her attesf that I am I%ally authorized to include all entities named within this document as parties to the work to be
performed and that 1 wor`l� t`p; e per o ed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting-of,a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any or; ance or regu on of this jurisdiction. Approval of work is subject to field inspection.
1
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
1-ennit Application pg 1 Woodruffjpeg
Citv of
`1`! haat ,49
idgc
( _ &A"w fiY DLVLL0I'MLN"1
Building 6 inspection Services Division
7500 W. 29`" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits a ci.wheatridpe.co.us
https:Hmail.google.com/ /scs/mail-sta`iic/ /js/k=gmaii.main.en.GhS...
FOR OFFICE USE ONL,V
PranfPennit #
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address: W v`_ !N V
Property Owner (please print):\ `( \C,XZ ` 6x\C'V\ W((6yAk i Phone:
Property Owner Email: r�
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor:
Contractors City License #: iZ l~ 1_� Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub.-
City
ub:City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
I of 1 5/26/17,11:23 AM
Oennit Application pg 2 Woodruff jpeg
https://mail.google-com/ /ses/mail-static/ /js/k=gmaii.main.en.GhS...
❑ COMMERCIAL t,ttESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE❑ ELECTRICAL SERVICE UPGRADE
El NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION @-@RESIDENTIAL ROOFING
RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Ll L
Sq. FtJLF �� u �, Btu's
Amps
Squares S i
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ L�ow
OWNER/CONTRACTOR SIGNATURE: OF UNDERSTANDING AND AGREEIIIENT
I hereby certify that the setback distances proposed b}this permit application are accurate and do not violate applicable ordinances, rulLs or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of rLLotd; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfminess of the information provided on the application.
CIRCLE ONE. (OWNER) (CO.NTRACMAJ or G'THORIZEDREPRESEr�'TfT%V of (OWNER) ONTRACTdR,
Electronic Signature (first and last name). - DATE: -5h
DEPARTMENT USE ONLY
ZONMG COMMMENTS: OCCUPANCY CL.ASW"TION:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer. r
Building Division Valuation: $
I of 1 5/26/17,11:23 AM
r
i s A
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: o F
Job Address:
Permit Number: () _70 d
❑ No one available for inspection: Time AI/PM
Re -Inspection required: -Yes (No,)
When corrections have been made, call for re -inspection at 303-234-5933
Date: // Inspector: \ X� Sl /&�
DO NOT REMOVE THIS NOTICE
DEPARTMENT 0F COFAMUNITY DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M92#18198
237-6944 ExT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS S~.SI L✓_04
CONTRACTOR t'Sw.~GI _
ADDRESS 1 8 li✓.- .~1~~ Ve-
CITY ZIP CODE 80033
PHONE y67' OS.9.3 LICENSE NO.
OWNER
ADDRESS 86!L L✓ 38 2 t~'_"4e
PHONE V67-0833 ZIPCODE C03
GONTRACT PRICE $ o? r 4°O
1. TYPE Ground
Other S or D Faee
2. MATERIAL Tofal Squars Feet
SIGNS 3. ILLUMINATION Yea❑ No❑ Type Eiee}. Permif No.
4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Apprwed,Zona Inapeetor
(Specity which is fronP ) ❑ ❑ ❑ ❑ DisapDrwed
I. TYPE SolidO More Thon 80% Open❑ Lavc Thon 80% Open
FENCES 12. MATERIAL
3. SET BACK FROM PROPERTY LINE N_
(Specify whieh ie tront) ❑
HeiQht
W Zone_ Apprwed,Zons Inepeetor
OTHER IZ'
DRAW SKETCH OR SHOW BELOW,?HE FENCE, SIGN, OR OTHER STRUCTURE,GNIN'u DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED) .
STREET NAME
z ~
J ~~r
r
~
~ SPECIFY NORTM
~
N
SHOW DISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STREETS, AND PROPERTV LINES; ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE.
' APPLICAYION FOR PLUMBIfiIG; ELECYRICAL; RAECHAfVICAL PERMIT
THIS APPLICATION WIIL BECOME A PERMIT TO PERfORM THE INDICATED WORK ONLV UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
pERPAIY WILL EXPIRE 60 DAYS FROM Q4'fE OF ISSUANCE !F WORK IS NOT STARTED WIYHlM THAT TIFAE
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUPAIPJUM WIRE UN6ER SIZE 6 II.I.EGdL
PLUMBING PERMIT
STATE IICENSE N0.
FLOOR BSM I5T 2ND 3RD 4TH
MECHANICAL PERMIT
N0. FLEUCircJeOne Go{ dl Ropone Cool EIEe Sobr
Np,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
H0T WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SEfiVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP.
REFRIGERATION SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
Retri eranf Group
UTILI7Y(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Pounds Char e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRIN6 MOTORS B: CONTROLS
F1.00R DRAIN
ELEVATOR
SIGNS
URINAL
TRANSfORMERS 8 RECTFIERS .
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL Fp(TURES
n~m....~~
acknowledqe fhal this aDDlica-
1 hereb
PERMIT FEE
'g-
NOT VA41~UNLESS RECEIPTED
y
fion ia eoiroet and understond that I
USE TAX
em~
li-
til ihis o
t
t
i
#tb
pp
un
h
s projec
eannol atarf
cotion ia apOroved. I shall comply with
TOTAL FEE
y-- ~
nd t
d
o a
o
ihe Icwe of fhe Stote o1 Colora
the Zoninp Requlationa and Buildinq
APPROVED ~
.
J~R~77/
Code of tne City of Wheat Ridqe. Any
violation ot the above terma will cause
DISAPPROVED
CHIEF BUILDING SPECTOR,City of Wheat Ridye
immediate revocation o} this permit.
CALL237-6944 EXT.255
24 HOURS IN ADVANCE
✓G~e C~G
Date Issued G( 2
FOR INSPECTIONS
AOOIieaM. SiOnamre
INSPECTION TICKET
L / 2 L
JOB
ADDRESS ~6✓ / GJ A9
DATE: BLDG. PERMITR
PERMITN
BLDG. CON1H.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. C~
INSPECTION MADE rI✓` '
REMARKS
INSPECTION TICKET
JOB
ADDRESS O ~ ~ ~ YA- " rL
DATE: 924` BLDG. PERMITp
PERMIT#
BLDG. CONTR
SUBCONTRACTOR
DATE INSP. REQ
TYPE OF INSP.~`~-+~^~P
INSPECTION MADE
flEMARKS ~1M9--v..AY SC~CJ~.2/v~e n 1~
GR p~ ti/aCE
w- RG~6--3a55
W.R. FORM 619
~7ai- 7 r~/,,)
~ T 6-